Provider Demographics
NPI:1386703155
Name:SHNAYDMAN, MARINA ALEX (DDS)
Entity type:Individual
Prefix:DR
First Name:MARINA
Middle Name:ALEX
Last Name:SHNAYDMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1718 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-4707
Mailing Address - Country:US
Mailing Address - Phone:415-987-2669
Mailing Address - Fax:408-448-6443
Practice Address - Street 1:3535 ROSS AVE STE 207
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-3039
Practice Address - Country:US
Practice Address - Phone:408-269-3411
Practice Address - Fax:408-448-6443
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA432461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice